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PROEMS licensure documents

The Philadelphia Regional Office of Emergency Medical Services (PROEMS) is the regional EMS council.

These documents are needed to apply for ambulance or quick response service licensure with PROEMS.

Name Description Released Format
Ambulance service staffing requirement acknowledgement PDF Use this form to acknowledge the staffing requirement for an ambulance company. December 23, 2021
Minimum staffing for a quick response service PDF Regulations regarding staffing requirements for quick response services. December 23, 2021
Non-municipal ambulance service contact designation form PDF Use this form to designate points-of-contact for a non-municipal ambulance service to receive important emergency response information. December 23, 2021
Service Medical Director’s agreement PDF Use this form to accept a Service Medical Director position with an ambulance or quick response service. December 23, 2021
Statement of Ownership PDF This form states the owner of an ambulance or quick response service and must be submitted with an ambulance licensure application. December 23, 2021
Statement of Participation PDF Use this form to agree to follow operational requirements if called on by the Fire Department for emergency assistance. December 23, 2021

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